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General NPI Number Information
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NPI Number | 1700092434
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Entity Type | Individual
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Provider Name | CYNTHIA S BAKER ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 405 S WASHINGTON ST
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City | ARDMORE
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State | OK
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Zip | 73401-7044
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Country | US
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Telephone | 580-223-9705
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Fax | 580-223-8736
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Provider Business Mailing Address
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Address Line | 1721 SALISBURY ST
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City | ARDMORE
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State | OK
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Zip | 73401-1765
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | R0030228
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License Number State | OK
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